Active NPI
Abigail Joy Vanliere, DDS
- Dentist
- Brookings, SD
National Provider Identifier
1356835946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D1193
- Practice address
- 2110 12TH St S
Brookings, SD 57006-5609 - Phone
- (605) 692-9463
- NPI assigned
- Jun 18, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1193 | SD | MD | Dentist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D1193 | SD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2110 12TH St S
Brookings, SD 57006-5609
Mailing address
2442 County Road H2
Saint Paul, MN 55112-4741
Phone (605) 351-8355
Other names 1
NPPES NPI Registry- Abigail Joy Neff
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2018.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1356835946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2442 COUNTY ROAD H2",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551124741",
"telephone_number": "605-351-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 12TH ST S",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "570065609",
"telephone_number": "605-692-9463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANLIERE",
"first_name": "ABIGAIL",
"middle_name": "JOY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SD",
"license": "D1193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "NEFF",
"middle_name": "JOY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brookings, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.